Clinton Medical Clinic

LBN: Conway Regional Medical Center, Inc
Clinton Medical Clinic is an health care organization with primary practice located at 2526 Highway 65 S Suite 203, Clinton AR 72031-6657. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Conway Regional Medical Center, Inc can be contacted via phone (501) 745-4914, or through Pack, William via phone (501) 450-2112.

Contact Information

Primary practice address
2526 Highway 65 S Suite 203 Clinton AR 72031-6657
Phone: (501) 745-4914
Fax: (501) 745-6374
Website:
Map and Directions
Authorized official contact:
Name: Pack, William
Phone: (501) 450-2112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1265421861
LBN Legal business name Conway Regional Medical Center, Inc
DBA Doing business as Clinton Medical Clinic
Authorized official Pack, William
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 17th, 2005
Last updated Nov 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265421861 NPPES
Arkansas MEDICAID 126874002
Arkansas MEDICAID 128440729

Popular Providers